45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
1,691
Insurances with rates
4
CPT / HCPCS codes
1,668
Most expensive procedures (gross)
J2507
$77,818
KRYSTEXXA (PEGLOTICASE) 8 MG INJ,ZERO DRUG WASTED, 340B DRUG PRICING
Gross
$114,438
J3357
$62,417
STELARA 90MG/ML INJ,340B DRUG PRICING
Gross
$91,790
J2350
$48,261
OCREVUS 300 MG INJ,340B DRUG PRICING
Gross
$70,972
63685
$46,926
PM-NEUROSTIMULATOR/RECHARGEABLE W/CHRG S
Gross
$69,009
J9316
$35,601
PHESGO 1200-600-30000 (15 ML) INJ,340B DRUG PRICING, ZERO DRUG WASTED
Gross
$52,354
C1821
$34,510
TOPS 30 M
Gross
$50,750
C1822
$31,455
PM KIT IPG SENZA CHARGER & REMOTE NEVRO
Gross
$46,257
J9277
$29,453
KEYTRUDA QLEX
Gross
$43,313
J9022
$28,371
TECENTRIQ (ATEZOLIZUMAB) 1200MG INJ,ZERO DRUG WASTED
Gross
$41,722
J9119
$27,747
LIBTAYO (CEMIPLIMAB) 350 MG/7 ML INJ
Gross
$40,805
J2327
$25,392
SKYRIZI 600MG/ 10ML INJ,ZERO DRUG WASTED, 340B DRUG PRICING
Gross
$37,342
J1930
$24,343
SOMATULINE DEPOT 120 MG/0.5ML INJ,340B DRUG PRICING, ZERO DRUG WASTED
Gross
$35,798
64580
$21,760
PM-INC IMPT J NSTIM ELT
Gross
$32,000
J9144
$21,399
DARATUMUMAB-HYALURONIDASE 1800MG/15ML
Gross
$31,469
J3380
$21,216
ENTYVIO 300MG VIAL,340B DRUG PRICING
Gross
$31,200
J3101
$20,921
TNKASE (TENECTEPLASE) 50 MG INJ KIT,ZERO DRUG WASTED, 340B DRUG PRICING
Gross
$30,766
J2323
$20,096
TYSABRI 300 MG INJ,340B DRUG PRICING
Gross
$29,554
C1820
$19,322
NEUROSTIM RESTORE ADVANCED
Gross
$28,414
J9308
$18,009
CYRAMZA 500MG/50ML,ZERO DRUG WASTED
Gross
$26,484
C1815
$16,320
PRODISC C NOVA SL 19x16MM H5MM
Gross
$24,000
J9332
$15,457
VYVGART 400MG/20ML INJ,340B DRUG PRICING
Gross
$22,731
J9271
$14,726
KEYTRUDA (PEMBROLIZUMAB) 100 MG/4 ML INJ
Gross
$21,656
J0517
$13,492
FASENRA 30 MG/ ML,340B DRUG PRICING
Gross
$19,841
64553
$11,938
PM-IMPLANT J NEUROSTIM ELTRD CRANIAL NER
Gross
$17,556
64575
$11,938
PM-INC IMPT J PERIPH NERV STIM
Gross
$17,556
J9173
$10,513
IMFINZI 500 MG INJ,340B DRUG PRICING, ZERO DRUG WASTED
Gross
$15,461
J1569
$10,486
GAMMAGARD 10% 300ML (30 GRAM),340B DRUG PRICING, ZERO DRUG WASTED
Gross
$15,421
J9177
$10,315
PADCEV (ENFORTUMAB) 30 MG INJ,ZERO DRUG WASTED
Gross
$15,169
Q5111
$10,220
UDENYCA (PEGFILGRASTIM) 6MG ONBODY,340B DRUG PRICING, ZERO DRUG WASTED
Gross
$15,030
22214
$9,967
SD-OSTEOTOMY LUMBAR VERTEBRAL SEGMENT
Gross
$14,658
J9309
$9,763
POLATUZUMAB (POLIVY) 30MG,ZERO DRUG WASTED
Gross
$14,358
C1899
$8,966
INSPACE SUBACROMIAL BALLOON SPACER-LARGE
Gross
$13,186
J1306
$8,783
LEQVIO 189MG / ML 1.5ML (284MG/1.5ML),340B DRUG PRICING
Gross
$12,916
Q5119
$8,774
RITUXIMAB-PVVR (RUXIENCE) 500 MG INJ,340B DRUG PRICING, ZERO DRUG WASTED
Gross
$12,902
93291
$7,418
LOOP RECORDER
Gross
$10,910
22114
$6,827
SD-PARTIAL EXCISION OF LUMBAR VERTEBRAL
Gross
$10,040
63650
$6,654
PM-IMP NEUROELECTRODES LEAD
Gross
$9,785
C9132
$6,650
KCENTRA 1024 UNITS,340B DRUG PRICING
Gross
$9,780
64555
$6,545
PM-PERCUTANEOUS IMPLANT PERIPHERAL NERVE
Gross
$9,625
64561
$6,545
PM-IMPLT NEURO NVER
Gross
$9,625
J1561
$6,531
GAMUNEX-C 10% 20 GRAM 200 ML,ZERO DRUG WASTED, 340B DRUG PRICING
Gross
$9,605
J9171
$6,193
DOCETAXEL 160 MG / 16 ML INJ,340B DRUG PRICING, DRUG AMOUNT DISCARDED
Gross
$9,108
62350
$6,056
PM-INSERT SPINAL CANAL CATH
Gross
$8,906
22861
$5,714
SD-REVISION TOTAL DISC ARTHROPLASTY PRO
Gross
$8,403
90375
$5,625
HYPERAB RABIES GLOBULIN VIAL 10 ML
Gross
$8,273
0202T
$5,440
PARTIAL EXC ADD ON
Gross
$8,000
J1576
$5,263
PANZYGA 10% 100ML (10 GRAM),340B DRUG PRICING
Gross
$7,740
J9217
$5,254
LUPRON 7.5 MG INJ
Gross
$7,727
J2997
$5,101
ACTIVASE 50MG 1X50MG,340B DRUG PRICING
Gross
$7,501
J1602
$4,894
SIMPONI ARIA 50MG IV,340B DRUG PRICING, ZERO DRUG WASTED
Gross
$7,197
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2507 | KRYSTEXXA (PEGLOTICASE) 8 MG INJ,ZERO DRUG WASTED, 340B DRUG PRICING | $114,438 | $77,818 | — | — | 5 |
| J3357 | STELARA 90MG/ML INJ,340B DRUG PRICING | $91,790 | $62,417 | — | — | 5 |
| J2350 | OCREVUS 300 MG INJ,340B DRUG PRICING | $70,972 | $48,261 | — | — | 5 |
| 63685 | PM-NEUROSTIMULATOR/RECHARGEABLE W/CHRG S | $69,009 | $46,926 | — | — | 6 |
| J9316 | PHESGO 1200-600-30000 (15 ML) INJ,340B DRUG PRICING, ZERO DRUG WASTED | $52,354 | $35,601 | — | — | 4 |
| C1821 | TOPS 30 M | $50,750 | $34,510 | — | — | 4 |
| C1822 | PM KIT IPG SENZA CHARGER & REMOTE NEVRO | $46,257 | $31,455 | — | — | 4 |
| J9277 | KEYTRUDA QLEX | $43,313 | $29,453 | — | — | 4 |
| J9022 | TECENTRIQ (ATEZOLIZUMAB) 1200MG INJ,ZERO DRUG WASTED | $41,722 | $28,371 | — | — | 5 |
| J9119 | LIBTAYO (CEMIPLIMAB) 350 MG/7 ML INJ | $40,805 | $27,747 | — | — | 4 |
| J2327 | SKYRIZI 600MG/ 10ML INJ,ZERO DRUG WASTED, 340B DRUG PRICING | $37,342 | $25,392 | — | — | 4 |
| J1930 | SOMATULINE DEPOT 120 MG/0.5ML INJ,340B DRUG PRICING, ZERO DRUG WASTED | $35,798 | $24,343 | — | — | 5 |
| 64580 | PM-INC IMPT J NSTIM ELT | $32,000 | $21,760 | — | — | 6 |
| J9144 | DARATUMUMAB-HYALURONIDASE 1800MG/15ML | $31,469 | $21,399 | — | — | 4 |
| J3380 | ENTYVIO 300MG VIAL,340B DRUG PRICING | $31,200 | $21,216 | — | — | 5 |
| J3101 | TNKASE (TENECTEPLASE) 50 MG INJ KIT,ZERO DRUG WASTED, 340B DRUG PRICING | $30,766 | $20,921 | — | — | 5 |
| J2323 | TYSABRI 300 MG INJ,340B DRUG PRICING | $29,554 | $20,096 | — | — | 5 |
| C1820 | NEUROSTIM RESTORE ADVANCED | $28,414 | $19,322 | — | — | 4 |
| J9308 | CYRAMZA 500MG/50ML,ZERO DRUG WASTED | $26,484 | $18,009 | — | — | 5 |
| C1815 | PRODISC C NOVA SL 19x16MM H5MM | $24,000 | $16,320 | — | — | 4 |
| J9332 | VYVGART 400MG/20ML INJ,340B DRUG PRICING | $22,731 | $15,457 | — | — | 4 |
| J9271 | KEYTRUDA (PEMBROLIZUMAB) 100 MG/4 ML INJ | $21,656 | $14,726 | — | — | 5 |
| J0517 | FASENRA 30 MG/ ML,340B DRUG PRICING | $19,841 | $13,492 | — | — | 4 |
| 64553 | PM-IMPLANT J NEUROSTIM ELTRD CRANIAL NER | $17,556 | $11,938 | — | — | 6 |
| 64575 | PM-INC IMPT J PERIPH NERV STIM | $17,556 | $11,938 | — | — | 6 |
| J9173 | IMFINZI 500 MG INJ,340B DRUG PRICING, ZERO DRUG WASTED | $15,461 | $10,513 | — | — | 4 |
| J1569 | GAMMAGARD 10% 300ML (30 GRAM),340B DRUG PRICING, ZERO DRUG WASTED | $15,421 | $10,486 | — | — | 5 |
| J9177 | PADCEV (ENFORTUMAB) 30 MG INJ,ZERO DRUG WASTED | $15,169 | $10,315 | — | — | 4 |
| Q5111 | UDENYCA (PEGFILGRASTIM) 6MG ONBODY,340B DRUG PRICING, ZERO DRUG WASTED | $15,030 | $10,220 | — | — | 4 |
| 22214 | SD-OSTEOTOMY LUMBAR VERTEBRAL SEGMENT | $14,658 | $9,967 | — | — | 8 |
| J9309 | POLATUZUMAB (POLIVY) 30MG,ZERO DRUG WASTED | $14,358 | $9,763 | — | — | 4 |
| C1899 | INSPACE SUBACROMIAL BALLOON SPACER-LARGE | $13,186 | $8,966 | — | — | 4 |
| J1306 | LEQVIO 189MG / ML 1.5ML (284MG/1.5ML),340B DRUG PRICING | $12,916 | $8,783 | — | — | 4 |
| Q5119 | RITUXIMAB-PVVR (RUXIENCE) 500 MG INJ,340B DRUG PRICING, ZERO DRUG WASTED | $12,902 | $8,774 | — | — | 4 |
| 93291 | LOOP RECORDER | $10,910 | $7,418 | — | — | 5 |
| 22114 | SD-PARTIAL EXCISION OF LUMBAR VERTEBRAL | $10,040 | $6,827 | — | — | 8 |
| 63650 | PM-IMP NEUROELECTRODES LEAD | $9,785 | $6,654 | — | — | 6 |
| C9132 | KCENTRA 1024 UNITS,340B DRUG PRICING | $9,780 | $6,650 | — | — | 5 |
| 64555 | PM-PERCUTANEOUS IMPLANT PERIPHERAL NERVE | $9,625 | $6,545 | — | — | 6 |
| 64561 | PM-IMPLT NEURO NVER | $9,625 | $6,545 | — | — | 6 |
| J1561 | GAMUNEX-C 10% 20 GRAM 200 ML,ZERO DRUG WASTED, 340B DRUG PRICING | $9,605 | $6,531 | — | — | 5 |
| J9171 | DOCETAXEL 160 MG / 16 ML INJ,340B DRUG PRICING, DRUG AMOUNT DISCARDED | $9,108 | $6,193 | — | — | 5 |
| 62350 | PM-INSERT SPINAL CANAL CATH | $8,906 | $6,056 | — | — | 6 |
| 22861 | SD-REVISION TOTAL DISC ARTHROPLASTY PRO | $8,403 | $5,714 | — | — | 8 |
| 90375 | HYPERAB RABIES GLOBULIN VIAL 10 ML | $8,273 | $5,625 | — | — | 5 |
| 0202T | PARTIAL EXC ADD ON | $8,000 | $5,440 | — | — | 5 |
| J1576 | PANZYGA 10% 100ML (10 GRAM),340B DRUG PRICING | $7,740 | $5,263 | — | — | 4 |
| J9217 | LUPRON 7.5 MG INJ | $7,727 | $5,254 | — | — | 5 |
| J2997 | ACTIVASE 50MG 1X50MG,340B DRUG PRICING | $7,501 | $5,101 | — | — | 5 |
| J1602 | SIMPONI ARIA 50MG IV,340B DRUG PRICING, ZERO DRUG WASTED | $7,197 | $4,894 | — | — | 5 |
Showing top 50 of 1,691 priced procedures, sorted by gross charge.
Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.